Evidence map›Paper›PMID 42778192›Full record

ArticleHospital pediatrics2026

Perceptions of Secure Messaging and Patient Safety: Results of an Interprofessional Survey.

Preston Simmons, Halley Ruppel, Alexis Tomlinson, Amina Khan, Kim Albanowski, Melissa McLoone, Meghan McNamara, Eric Shelov, Casey E Pitts, Brooke Luo

Abstract read
In one paragraph

Article in Hospital pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Preston SimmonsDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Halley RuppelDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Alexis TomlinsonDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Amina KhanDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Kim AlbanowskiClinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Melissa McLooneSection of Hospital Medicine, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Meghan McNamaraDepartment of Nursing and Clinical Care Services, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Eric ShelovDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Casey E PittsDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Brooke LuoClinical Futures, a Center of Emphasis in the CHOP Research Institute, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

AHRQ HHS R18 HS029473
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCommunication technology within pediatric health care systems is rapidly evolving and has the potential to affect safety culture. After implementing a secure messaging communication platform at our quaternary care hospital, we aimed to evaluate the new system across interprofessional groups to inform future quality improvement initiatives.

methodsA cross-sectional survey developed by quality and safety experts was distributed via email to physicians, advanced practice providers (APP), and nurses over 3 months at a single children's hospital. Descriptive statistics were used to summarize participant demographics. χ2 analysis with correction for multiple comparisons was used to analyze differences across clinician groups.

resultsFour hundred and eleven respondents completed the survey, with nurses being the most common respondents (n = 166, 37.6%). When comparing physicians or APP and nurses, there was agreement that the new platform made it easy to communicate with the appropriate team member (P = .096). Practitioners reported feeling more overwhelmed by the number of messages received (P < .001) and being unable to review messages in a timely manner (P < .001) compared with nurses. When practitioner groups were stratified, trainees had the highest proportion of respondents reporting increased workload (n = 65, 94.2%) and being unable to review messages in a timely manner (n = 51, 73.9%).

conclusionsAlthough there was a consensus across clinical roles that the new communication system makes it easy to communicate with appropriate members of the care team, discrepancies exist in role-specific workload factors. These findings highlight the need for optimizing communication strategies with input from different clinical roles in the inpatient setting.

Identifiers

PMID42778192
PMCPMC13602201

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.